DR. FRANK BOATENG (NPI# 1609025527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609025527 |
| Entity Type | Individual |
| Full Name | DR. FRANK BOATENG |
| Credential | M.D |
| Practice Address |
550 S Landmark Ave Bloomington IN 47403 |
| Mailing Address |
550 S Landmark Ave Bloomington IN 47403-3239 |
| Practice Telephone | 8126764660 |
| Practice Fax Number | 8123552751 |
| Mailing Telephone | 8126764660 |
| Mailing Fax Number | 8123552751 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2018-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01070752A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
01070752A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201116850 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1520 S Liberty Dr, Bloomington, IN 474035167 | 8126764660 | 8126764661 |
| Street Address |
550 S LANDMARK AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487623 | Jean A. Creek | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2005-06-16 |
| 1225657877 | Valerie Mccullough | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-04-14 |
| 1104454768 | Haley C Richardson | Physician Assistant | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-03-30 |
| 1669003489 | Keira Bex | Registered Nurse | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-01-30 |
| 1992341770 | Melisse Nicole Ferree Gladwell | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2019-11-27 |
| 1841845658 | Rachael M Hamelink | Registered Nurse | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2019-08-08 |
| 1023592300 | Danielle Lee Rogers | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2018-09-21 |
| 1508382003 | Hilary Anderson | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2017-08-16 |
| 1205364494 | Hena Naz Shah | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2017-06-01 |
| 1164957338 | Amanda Butcher | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568749265 | Mohammad Umair Zafar | Internal Medicine | 3901 Ge Rd, Suite 1, Bloomington, IL 61704 | 2011-11-08 |
| 1043340367 | Robert Bruha | Internal Medicine | 1404 Eastland Dr Ste 103, Bloomington, IL 61701-7904 | 2007-03-06 |
| 1376657783 | Hideki Kawanishi | Internal Medicine | 515 S Woodscrest Dr, Bloomington, IN 47401-5524 | 2006-08-19 |
| 1023217551 | Kumarpal Shrishrimal | Internal Medicine | 1404 Eastland Dr Ste 103, Bloomington, IL 61701-7904 | 2007-07-14 |
| 1164536587 | Bloomington Kidney & Hypertension Specialists PC | Internal Medicine | 515 S Woodscrest Dr, Bloomington, IN 47401 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225684368 | Fort Wayne Vascular Care LLC | Internal Medicine | 1833 Magnavox Way # 100, Fort Wayne, IN 46804-1539 | 2019-08-14 |
| 1952962516 | Rafael Juan Igartua | Internal Medicine | 1450 Solemar Dr, West Lafayette, IN 47906-8867 | 2019-06-25 |
| 1215463955 | William Louis Macias | Internal Medicine | 9129 Log Run Dr S, Indianapolis, IN 46234-1343 | 2017-05-01 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1679924013 | Peter Eloho Umukoro | Internal Medicine | 950 W Walnut St Rm 202, Indianapolis, IN 46202 | 2016-06-27 |
| 1124423546 | Beacon Medical Group, Inc. | Internal Medicine | 100 Navarre Pl Ste 4400, South Bend, IN 46601-1100 | 2014-10-28 |
| 1619309317 | Kevin Joseph Lavelle | Internal Medicine | 621 First Ave. N.e., Carmel, IN 46032 | 2013-08-05 |
| 1215270897 | Lori Wanko | Internal Medicine | 8205 E 56th St Ste 250, Indianapolis, IN 46216-1097 | 2013-04-01 |
| 1326319724 | Robert Wayne Dettmer | Internal Medicine | 2935 Ambleside Way, Fort Wayne, IN 46804-2443 | 2012-01-18 |
| 1265747703 | Yasser Aldurra | Internal Medicine | 8330 Naab Rd Ste 234, Indianapolis, IN 46260-1932 | 2010-08-09 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.